Deficiency Records for Cedarbrook Senior Care and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Cedarbrook Senior Care and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-11 | 2023-06-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-11 | 2023-06-28 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-11 | 2023-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-11 | 2023-06-28 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-28 | 2022-09-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-07-28 | 2022-09-21 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-07-14 | 2022-08-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-06 | 2021-09-08 | Y |
| Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-22 | 2021-08-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-06-11 | 2021-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-11 | 2021-07-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-06-11 | 2021-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-11 | 2021-07-13 | N |
